title: Development and pilot evaluation of a manualized cognitive-behavioural treatment package for adolescent self-harm.
abstract: BACKGROUND
  Manualized cognitive-behavioural therapy (MCBT) approaches to treating adolescent anxiety and depression have been shown to be effective in recent years, as have MCBT for adult self-harm (SH).
  
  
  OBJECTIVE
  This paper describes the rationale for, development and pilot evaluation of the efficacy of a novel manualized CBT package for adolescent self-harm (SH). It also addresses the acceptability of this treatment package to therapists and patients.
  
  
  METHODS
  Twenty-five adolescents (aged 12-18 years) presenting to a Community Child and Adolescent Mental Health Service (CAMHS) in Greater London with SH behaviour began the "Cutting Down" programme and 16 (64%) completed the treatment. Outcomes were assessed at baseline, at the end of treatment and at 3 month follow up.
  
  
  RESULTS
  Significant reductions in self-harm behaviour, depression symptoms and trait anxiety were reported. There was no change in state anxiety or in levels of parental expressed emotion as perceived by the adolescent.
  
  
  CONCLUSIONS
  These pilot findings provide preliminary support for the efficacy and acceptability of this time-limited CBT package for adolescents who self-harm.
authors.affiliation: Dialectical Behaviour Therapy (DBT) Service, Maudsley Hospital, UK. lucy.taylor@slam.nhs.uk
authors.forename: Lucy M W
authors.initials: LM
authors.lastname: Taylor
authors.forename: Anna
authors.initials: A
authors.lastname: Oldershaw
authors.forename: Clair
authors.initials: C
authors.lastname: Richards
authors.forename: Kate
authors.initials: K
authors.lastname: Davidson
authors.forename: Ulrike
authors.initials: U
authors.lastname: Schmidt
authors.forename: Mima
authors.initials: M
authors.lastname: Simic
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003663:Decision Trees; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy; D019260:Expressed Emotion; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008370:Manuals as Topic; D010287:Parent-Child Relations; D010555:Personality Inventory; D010865:Pilot Projects; D016728:Self-Injurious Behavior / Q000523:psychology / Q000628:therapy*; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology